The role of parental acute psychological distress in paediatric burn re-epithelialization

British Journal of Health Psychology
Erin A BrownJustin Kenardy

Abstract

Following a paediatric burn, parents commonly experience high levels of acute psychological distress, which has been shown to increase child psychological distress as well as child procedural distress. The influence of psychological stress and perceived pain on wound healing has been demonstrated in several laboratory and medical populations. This paper investigates the influence of parental acute psychological distress and procedural behaviour on the child's rate of re-epithelialization, after controlling for child procedural distress. A prospective observational study with longitudinal outcome. Eighty-three parents of children 1-6 years old reported acute psychological distress (post-traumatic stress symptoms [PTSS], guilt, pre-procedural fear, general anxiety/depression symptoms) in relation to their child's burn. A researcher observed parent-child behaviour at the first dressing change, and parents and nurses reported child procedural distress (pre-, peak-, and post-procedural pain and fear). These variables, along with demographic and injury information, were tested for predicting time to re-epithelialization. Date of re-epithelialization was determined by the treating consultant. Days to re-epithelialization ranged from 3...Continue Reading

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Citations

Sep 21, 2020·Journal of Pediatric Nursing·Erin A BrownJustin Kenardy
Sep 27, 2020·Burns : Journal of the International Society for Burn Injuries·Gera A HartliefMarianne K Nieuwenhuis

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